The relationship between sarcopenia and knee osteoarthritis in elderly patients
Tóm tắt
Introduction: The coexistence of sarcopenia and knee osteoarthritis (KOA) in the elderly increases the severity of knee degeneration, heightens knee pain levels, raises the risk of falls, reduces activity capacity, and decreases quality of life, thereby leading to higher rates of disability and dependency.
Methods: A cross-sectional study was conducted on 252 patients aged ≥60 (with and without KOA at the Department of Rheumatology of Thong Nhat Hospital in Ho Chi Minh City, from November 2023 to May 2024. KOA was diagnosed according to the American College of Rheumatology (ACR) criteria established in 1991. Appendicular Skeletal Muscle was assessed using the InBody 270 bioelectrical impedance analysis device, and sarcopenia was diagnosed based on the 2019 consensus of the Asian Working Group for Sarcopenia (AWGS).
Results: The mean age was 72.95 ± 8.29 years, with females accounting for the majority (72.2%). The prevalence of sarcopenia in elderly patients with KOA was 54.0%, compared to 36.5% in those without KOA. Multivariate logistic regression analysis showed an association between sarcopenia and KOA, with an odds ratio (OR) of 3.38 (95% CI: 1.74 – 6.57, p<0.001).
Conclusions: Sarcopenia is highly prevalent among elderly patients with KOA. There are several factors associated with KOA, including sarcopenia, with OR = 3.38 (95% CI: 1.74 – 6.57, p <0.001).
DOI: 10.59715/pntjmp.4.3.22